3967 Greystone Ridgei
/?„ 973 7 2005 RESIDENTIAL BUII.DING PERNIIT APPLICATION
?F? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
7a- -
a" J/// _?
New Construdion Reauiremenis RemodeVRenair Reauiremenls Olfice Use Oniv
3 2gistered site surveys shaxing sq. ft. of lot, sq. ft. ot house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _N
(20% maximum lot coverage allowed) 1 sel of Energy Calcula6ons for heated addiGons TreePres Plan Recd - Y N
2 wpies otplan showing beam & window sizes; poured fourid design, etc. 1 site survey for addRions & decks Tree Pres Required Y _N
lseto(EnergyCalculations Additlon-indicafeifon-sdesepUcsystem On-site5epfic5ystem _Y _N
3 copies of Tree Preservation Plan fl lol pladed after 711193
Rim Joist Detail Optbns selection sheet (buildings widh 3 or less uniGS)
Date Construction Cost
Site Addr s?Q?a W=s Uoit/Ste #
Description of Work '
Icklix? VCLC?o
.
Multi-Family Bldg _ Y J( N Fireplace(s) _ 0_ 1
PropertyOwner G2=_?'!(y? ?a_) Telephane#(O ?ei? ?l?F'77
Contractnr
Address City
State ??ADN Zip F25? Telephooe # Lj;Z) 4yi-t.rie_
,, .
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Categoly , Residential Ventdation Category 1 Worksheet • New Energy Code Worksheat
(4 submissiantype) Submitted Submitted
. Energy Envelope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ardinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
4Applicanfs .?? ApplicanYs Printed Na e gnature
OFFICE USE ONLY
Suh Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
O 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ?9 18 Deck ? 23 Porch (screenfgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
O 06 04-pleX ? 12 12-plex Pibg_Y or_ N? 25 MiSCellaneOUS
Work Types
?9 31 New
? 32 Addition
? 33 Alteretion
? 34 Replacem ent
Valuation A, afla - '-
Census Code L/-3 6/
SAC Units
# of Units
# of Bidgs
Type of Const v /'3
Footings (new bldg)
?L Footings (deck)
_ Footings (addition)
Foundation
Drein Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
..- s
? 30 Accessory Bldg
? 31 Eut. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doars
"Demolitlon (Entlre Bldg) - Give PCA handout to applicant
Occupancy 1? 3 MCES System
Zoning (Z" ? City Water
Stories Booster Pump
Sq. Ft. PRV
Length ? Fire Sprinklered
Width /D1
REQUIRED INSPECTIONS
FinaVC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco Stone Brick
_ Windows
_ Retaining Wall
,I.? `t
ENGINEERS,
iO17E CoPLANNERS ond LAND SURVEYORS
.NGINEERING
COMPANY, INC.
? 7000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337
CERTIFICATE OF
Legal Description:
SCALE : 1" = 30'
SCOTT LARSON HOMES
? PROJECT N0. 12549.00
BOOK
PAGE
PH 432-3000
SURVEY
LQT 9, BLOCK 1, MURPHY FARM 3RD ADDITION
DAKOTA COUNTY, MINNESOTA
i`?lo.lt DENOTES EXISTING ELEVATION
( q L(.o) DENOTES PROPOSED ELEVATION
r-- INDICATES DIRECTION OF SURFACE DRAINAGE
(cacc) 9I .ZS = FINISHED GARAGE FLOOR ELEVATION
ca?c, 90 4.13 = BASEMENT FLOOR ELEVATION
Meas. 911. sa = TOP OF FOUNDATION ELEVATION AT GARAGE
e s. 9iz.z4 ? TOP OF FOUNDATION ELEVATION AT HOUSE
ADDRESS: 3967 GREYSTONE RIDGE
DRIVEWAY AREA: 1,403 SQ.FT.
LOT AREA: 13,848 SQ.FT.
HOUSE AREA: 2,396 SQ.FT. = 1-].3,0o
BENCHMARK:
?,.
,-
.?; I
,
By e,on /liij Z:?j ?
Date P?/! ?
EAGAN 6IYGWEERING DEP'[:
/ R , --- -E
EAGAN
BY
DA3E ? - .
tNSTA`0.
SILT FENCE
Lor I
I hereby certify that this is a true and correct representation of a tract
hereon. As prepared by me this -Lfli-kday of J-vl_ , 2004.
Re?. 8-??-04 PRopas<0 b10U5F MOVED 63RcFk
/?l?
Czeo AS 8ulLr waL? FoRMS Fo2 ??.,,?n " Minn
I ocqYroN e G-LEVRTioNS.
as shown and described
Reg. No. (9086
.
Address: 3967 Greystone Ridge Zip: 55122
Lot: 9 Black: 1 Subdivision: Murphy Farm 3rd
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON
Yes No Comments
Final grade - 6" from siding
Permanent ste s - garage
Permanent ste s- main ent
Permanent driveway
Permanent as
Retainin Wall or 3:1 Max Slope
Sod/Seeded lawn
Trail/curb dama e
Porch
Lower level finish
Deck
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 grior to working in righr-of-way or installing
irrigation sys[em.
? BUILDINGINSPECTOR:`rJ??????t?i? f
?
CONTRACTOR
Larson Construction,Scott
508 Wildllower Raad
Bm'nsville MN 55306
Feb 04 2005 1:16PM HP LF5ERJE7 FRX
P.2
r •
Date: 21412003 Revision Date: 2/4/2005
Sltt 1 f„ o?rmatlan
Addresa 1* 3967 Greystone Ridge
Address 2:
City: Eagart County: Dakota
Anolicatlon lnfonngdon
Business Name: KLEVE. INC. Heating 8 Air
Conditioning
Contact Person; Oeoffrey M. 5mith
pffics Ph: 952-941-4211 Fax: 952-941-7240
Address 1: 13075 Pioneer Trail
New Conatruction
Project #: Scott Larson Homes
Lot; Black:
Subdivision: Murphy Farm 3rd AdditVon
MN Contrector License #:
Cell Ph: 612-702-4350
City, Eden Pralrie State: MN Zip Code: 55347
Houso Dotalls
Squars Feet: 4256 sq. ft. Avg. Ceiling Ht: 9 ft Number of 8edrooms: 3
Ventliation : Balanced
7atal Ventilation Capaaty : 167 cfm. x, 76 -,zz 1d ?7
Minimum Continuous Ventilation ;SOcfm. NQv ? 5 0?
^
IntermittantVentilation:107 Cfm, ,
y
Combwtlon Aoollance
Water Heater: Power Vent Input BTIJs: 65,000 Indeperrdently Vented
Furnacel9oller. Direct VenUSealed Combustian Input BTlis: 80,000 Indepsndently Vented
Other CQmbuetlon Aonllances
Gas Fired Direct Vent Fireplace(a): Yes Gas Fired Power Vent FiPeplBCe(s): No
Gas Fired Natural DraR Fireplsce(a): No 8oUd Fuei Appliance(s): Nn
Exhaus! Eaulpmsnt
Continuous Exhaust VenGlation Capacity (efm): NA Clothe& Dryer (cfm): 135
Exheust Fen Rating (cfm): 240
Make-Ua Air
No Make-Up Air Required by Code
Combystion Air
Round Rlgid Required: 5 inches or Insuiated Flex: 6 inches
Applicant Neme (print): k t2? I'J%1 C_ Signaturs/t7ate:'.?? y7?+ z.rA?
CodeOffiCial (print); SignaturelDate:
m 2004 CantmPointBnergy Minnegssoo. 2004 Mechanical Code Guidelines, p88° I
bggqg
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?So.rb
Date 140. Ii' e"4
Site StreetlAddress Unit #
Property Owner Telephone #(f? Z) 4 3S 00 r`
Contractor - V??a j Teiephone # (15 Z ) y 12 -
Address 9 6 0 0 v 11?+ Av4 City eYat-?^^ State h N/ Zip SS 3 S 2
The Applicant is: _ Owner Contractor _Other
Alteretions to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If vou are instal(inst onl a water softener and/or wafer
heater, do not complete this section. Move to the next section and check the _
appliance(s) you are installing.
_Septic System Ahandonment
Water Turnaround (add $125.00 if a 5/8" meter is required MAY 1O _
?Other: Z/ILl i-m -{-Q. L-s\?
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 30.00
State Surcharge $ •50
Total $ Sb.SD
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work wiil be in accordance with the approved plan in
the event a p{an is required to be reviewed and approved.
ApplicanYs Printed Name Applic 15-0 ignature
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
, City Of Eagan
` 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshudion Reamremenls RemodellRepair Reamrements CKfise U9eC1nN
3 registered site surveys showing sq fl of lot, sq fl of house, and all roofed areas 2 copies of plan C?rtoi$rav?Aec? _..ti _N
(20% mvimum lot coverage allowed) 1 set of Energy CakulaLons for heated addtlions Tree PtAePfBn i2¢c8 ._,.Y _N.
2 copies of plan showing 6eam & window sizes, poured found design, elc. 1 site survey for adfitions & decks 7ree presi?equirEd Y N
lsetofEnergyCalculahons Addifion - indicateifonsitesepticsysfem On-siteSspGcSysism _Y _N
3 copies of Tree Preservation Plan if lot plaped afler 711193
Rim Joist Detad Options selec[ron sheet (bmldings with 3 or less untls)
Date G' lgos ?..?
Construction Cost
Site Address UniUSte # --?
?
?i
Description of Wark
Multi-Family Bldg _ YX N Fireplace(s) X 0 _ 1 _ 2
Property Owner lawtr I (1wuem} "rft Eem Telephone # (?? 41-y2w
Contractor
Addmss kDadWa2- gay City RJ_R*)SVf,I.?..
Lfi?
State 1,?V Zip ?i306 Telephone #(?? 4-xIOG-Ofxe
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category Minnesota Rules 7670 Ca[eeorv 1 _ Ntinnesota Rules 7672
• Residential Ventiiffiion Category i Worksheet ? a ?? ode Worksheet
(J submission type) SubmiBed S i e?
. Energy Envelope Calculetlons Submitted
APR Q 7 2005
Have you previousiy constructed a building in Eagan with a similar pl Y_ N I , 2597. plan review
fee applies. ?„ ? J
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephane # {
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. .n 1i r, n ,
Applicant's Printed Ndme Applican£s Signature
OFFICE USE ONLY
Sub Types
. , a
? 01 Foundation ? 07 05-plex 13 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea ) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex /11- 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 72-plex Plbg_Yor_ N O 25 Miscellaneous
Work Types
[3 31 New, ,
? 32 Additian
,K 33 Afteration
? 34 Replacement
z }.
,t]` 35
? 36
? 37
valuation (90 J
Census Code
SAC Unfts• `? ?
# of Units
# of Bidgs
Type of Cortstt
ryn7C.,
Int Improvement E1; ,38ifDemolish•In}1?brr-.r• ?.`44'•L-?iding
'}:
...
a
PAaveeuilding ? 42 DemolishFomndation'+;C] •4,STp,Ftre;Repair
" . .,.,v. • l?t;.C••r da..,.
G
Demolish Building 4 WindowslDoors
? 43 Reroof ?,
"Uemolltioh(?nf?re"Bldg)•Ca'?ve??AhandouCtodppli?rlt'-R'??y •
..
Occupancy MCES System
Zoning City Water
$tOfiBS '..? t. !:' 'IsObSf@f? fPUl91T?i : i
Sq. Ft. PRV
Length Fir`e ?RYIMfWoo;.i ; , r••; ,
Width '.'?'.'y':•.S :.:=.i+.1.y"?',T'T•??;i!.? ''?^'* ?
REQUIRED INSPECTIONS
_ Foolings(new bldg) FinaVC.O.
_ Footings (deck) FinallNo C.O.
_ Footings(addidon) Plumbing
_ Foundation X HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs
Air/Gas Tests Final
Framing _
Siding
Stucco
Stone
Brick
_ Fireplace _ R.I. _ Air Test _ Final _
_
_
_
Windows
T)C Insulation _
_ Reta»g Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
?
?
:e•.:.,;•.,. ' .,?.^
.:t ?''?.
ia .?'":?:
. i ;•????=s.,? ''""i, ?
q 1?j? p c.? I e3 P? S L?_
. ?cv? ,., ? P. ? ?,., 3 ? mp ,6 ?6 Qs
. ? 2 04 RESIDENTIAL BUII,DING PERNIIT APPLI?? 6???
City Of Eagan
O,. 7.n k --iza -),--I
s-G39• 6 G
70 6-p
9a.s-0
Date / D?
Site Address 3 0 ,?_.fL Construcdon Cost
Unit/Ste #
Description of Work
Mutti-Family Bidg _ Y ? N Fireplace(s) _ 0 il' 1 _ 2
Property Owner Ln'7? Telephone # (&Z ) y12i ???6
Contractor
Address
State City
Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- 1(4innesota Rules 7670 Categorv 1 ? Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet
(J submission ) Svbmitted Submitted
• Energy Envelope Calculations Submitted
Have you pre ously constructed a building in Eagan with a similar plan? _ Y ?L N If so, 25% plan review
fee appiies.
Licensed Plumber PM, g Telephone #
Mechanical Contractor Telephone #WZ?- -?
?
Sewer/Water Contractor ' Telephone #(Sf
I hereby apply for a Residential Building Permit and acknowledge that the informa n is c`aAete and acc ate;
that the work will be in conformance with the ordinances and codes of the City o MN
Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
s2f I ]QKTa) 4 vm?
Applicant's Printed Name Applicant i ature
OFFICE U5E ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screen/gazebo) 0 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvemenl ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement `DemollNon (Endre Bldg) - Give PCA handout to appl(cant
Valuation ?Vol;e Occupancy MCES System -
Census Code lof Zoning City Water
SAC Units P>? Stories Booster Pump "-
# of Units o/ Sq. Ft. 1?9 f
.1 PRV
# of Bidgs D/ Length tl, 7 Fire Sprinklered
Type of Const Width To
REQUIRED INSPECTIONS
? Footings (new bldg) FinaVC.O.
_ Footings(deck) _ FinaVNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
Drain Tile Other
Roof -.4 Ice& Water jt F inal Pool Ftgs AirlGas Tests Final
? Framing Siding _ Stucco _ Stone _ Br ick
Fireplace ? R.I. --yAir _
Test ,j,tFinal
Windows
?
Insulation =
Retaining Wall
Approved By:
-------------- , Building Inspector
Base Fee ? ?
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
l4 30 ? o
7- 91 6
`e,v ds.M? -3 4-C,?! ?J- 3
fa?C'
0 0
°? rrd r,, j
Oy? 'N
54n/yJf ? " 0 Q
36
51tb-o?
(o ?,?GO
ay
?2 (e
/)- /V,
l
? ?7?? ?
6124525744
• 03/06/1996 18:28 6124525744 TRISO:N PAGE 01
w N?EL'Eaz
NJE?"" W/ Se-P.14 " KS oY.I ?O?NeS
612 -ZZO-05&8 _-ta 6wt Q'^C=5"Tl-..-JS
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
ItEScheckSoftwaze Version 3.6 Release I
Data filename: Untitled.rck
PItOIECT TITLE: sco[t laxson homm
COUN'I'X. Aakota
STATE: Minnesota
zorre: z
CONSTRUCTiON TYPE: Single FamiAy
WINDOW / WALL RATIO: 0.13
DATE: 07/24l04
DATL' OF PT.ANS: 06125/04
PROJ£CTDESCRIPTION: LArts+'J VA en-4 e?? s+-rc 140p[z.FSS ', 31 (o7 COWY51-1*
11"NOO&W
DESIGNER/CONTRACTOR:
scott lazson homes
PROJECT NOTES
]ccatloss
COMPL] A.NCE: ?
Maxi»tum UA = 4
Yo me UA = 377
9"/o Better Than Code A)
Gross Glazing
Are8 ur Cavity Cont. or popr
Pumnater R-?13? 11:E84Y4I DA
Ceiling 1; F1at Ceiling ox Scisspz Truss 1346 58
0 0
0
Wall l: Wopd Frame, 16" o.c.
1248 .
.0 .
0.0 32
49
W indow 1: Abova-Grdde; Vliyyl prame:Aouble Pane with L,ow-E 330 0.350 115
Door I: Solid 36 0250 9
Aoor 2: Glass 60 0350 21
Wa11 2' Wood Fxame, 16" o.c. 1455 19.0 0.0 86
Wall 3: Wdod prame, 16" o.c. 200 1 0 0.0 12
Baseinenl Wa11 1: Solid Concreie or Masonry 1048 14.0 0.0 53
. 0310,?/1996 18:28 6124525744
Wall height S.0'
Depth below gmde: 7.5'
[nsalation depth: 8.0'
F1oor 1: All-Wood loistlIkuss:4ver Outside Air
Furnace l: Fotced Hol Air, 78 AFUE
Aix Condiuoncr 1- E3echic CenVal Aiz, 10 SEEA
Fwmace 2: Forced Fia Air, 78 AFfJE
Praposed aad Maximum iT-Factor Averagea
Abovc-Grade Windows and Glass Doors
Includes Founda[ion Windovvs > 5,6 R2
TRISO:N
16 24.0 0.0
Piopostd
Aver$ge U Factox
0.350
Ivlwrinnum,
Allowed U-Padoz
0370
PAGE 02
CDMPLIANCE STATEMENT: The pmposed building desigu descn'bed Lere is consAStem with the building plans,
specifications, and other calculations Submitted widh the permit applicataon_ 'Fhe proposad building tias been desiped bn
in¢et the 2000 Minnesota Energy Code reqnixements in RESeheckVersion 3.6 Release 1(foxmedy MECchecto arui to
comply with the mandatory l?sted in the REScheckInspaction Checklist.
IIuilder/Designer ?? Aate " % ?2.3 p?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ?n7 q? 3k- Aa.,-rn 3rd 4ddi7i OA
DATE OF SURVEY: 7/Z4-/CS4
LATEST REVISION:
m
?
c
R
L
U
Y a ?
O z C DOCUMENTSTANDARDS
,zf? ? • Registered Land Surveyor signature and company
? ? ? • Building Permit Applicant
?' ? ? • Legal description
.? ? ? • Address
? ? ? • North arrow and scale
JV ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
?? ? • Directional drainage arrows with slope/gradient °/,
g? ? • Proposed/existing sewer and water services 8 invert elevation
,W ? ? • Street name
)a ? ? • Driveway (grade & width - in RNJ and back of curb, 22' max.)
RI ? ? • Lot Square Footage
z- o ? • Lot Coverage
ELEVATIONS
Exfstina
? ? ? • Sewer service (or Proposed)
? 0 0 • Property comers
? ? ? • Top of curb at the driveway and property line extensions
? ? 0 • Elevations of any existing adjacent homes
J3 ? ? • Adequate footing depth of structures due to adjacent utiliry trenches
? ? ? • Waterways (pond, stream, atc.)
Prooosed
.0'? ? • Garage floor
,Z1 ? 0 • Basement floor
.Er ? ? • Lowest exposed elevation (walkout/window)
Z ? ? • Property corners
s!` ?? . Front and rear of home at the foundation
PONDING AREA (if aoplicable)
D ? • Easement line
? ? ? • NWL
? 21 ? • HWL
? Rl ? • Pond # designation
? ? ? • Emergency Overtlow Elevation
? ?" ? • PondNVetland buffer delineaGon
DIMENSIONS
0 ? • Lot IinesJBearings & dimensions
.? ?? • Right-of-way and street width (to back of curb)
?? 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent tootings)
??? • Show ail easemants of record and an ty utilities within those easements
?? • Setbacks of proposed structure an ide?yard setback of adjacent existing structures
?X ? • Retaining wall requirements, if a
Reviewed:
Name Date
G:lFORMS/Building Permit Application Rev. 12-1 E03
SCOTT LARSON HOMES
017E CONSULTING
PLANNERS andENGINEERS
?7 LAND SURVEYORS PROJECT N0. 12549.00
NGINEERING BOOK
Ptlrr%KA0QKlU INC PAGE
. •
7000 EAST 146th STREET, BURN5VILLE, MINNESOTA 55337 PH 432-3000
CERTIFiCATE OF SURVEY
Legal Description: LoT s
1'1 A 1//1T
?
scALE : i" = 30'
kDD[LE.55; 3%,7 GreyS-?ame
LOT AREA: 13,848 SQ.FT. ?
HOUSE AREA: 2,396 SQ.FT. =
DRIVEWAY AREA: 1,403 SQ.FT.
NW? 7pe : Z-S-tory
?.:
,
,.1
l
HY F
DEN
(9t1,o) DEN
?--- INDI,
q l L I7 = FINI`.
9Dq,0 = gqgl
911.50 = TOP
9 t220 = T0P'
?
?. 307,
N
iTES EXJS?ING ELEVATION
iTES Pf?OPOSED ELEVATION
ATE??DIRECTION OF StJRFACE DRAINAGE
HGARAGE FLOOR ELEVATION
T FLOOR ELEVATION
ELEVA710N ( AT URQA(?8)
OF FOUNOXTfON ELEVAT{OiJ ( AT HOUSF-)
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DRAINAGE AND
UTILITf EASEMENT;__?,i ^
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I hereby certify that this is a true and correct representation of a tract as shown and described
hereon. As prepared by me this 14++, day of 2004.
Minn. Reg. No. 19O86
A0f3E
NGINEERING
COMPANY,
CONSULTING ENqNEERS,
PLANNERS and LAND SURVEYORS
INC.
SCOTT LARSON HOMES
? PROJECT N0. 12549.00
800K
?1000 EAST 146th STREET, BURN5VILLE, MINNESOTA 55337 PH 432-3000\'?tl_
CERTIFICATE OF SURVEY
PAGE
Legal Description: LoT s, BLOCK 1, MURPHY FARM 3RD ADDITION
DAKOTA COUNTY, MINP
(9u o)
.r--
( CAIC. 9 I . ZS
ca?c, qo4i3
rtea qll.5s
E/1S. Q?Z.24
SCALE : 1" = 30'
ADDRESS: 3967 GREYSTONE RIDGE
DRIVEWAY AREA: 1,403 SQ.FT.
LOT AREA: 13,848 SQ.FT.
HOUSE AREA: 2,396 SQ.FT. = 17.300
BENCHMARK:
*wSeType: Z-574or3
JESOTA
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
= FINISHED GARAGE FLOOR ELEVATION
= BASEMENT FLOOR ELEVATION
= TOP OF FOUNDATION ELEVATION AT GARAGE
= TOP OF FOUNDATION ELEVATION AT HOUSE
5??ALI
Isodir FENCE
LOr %
MN
V V IED
By
om
FAC'sAN E?dGUqEEM('i DEF'&:
I hereby certify that this is a true and correct re resentation of a tract as shown and described
hereon. As prepared by me this I'jtday of _TT , 2004.
R E-N 8'[b-aq PRoPoseO NOUSF MOVED BRCK Minn. Reg. No. ?`?086
RPD AS BWLr WALL FoRMS Fo/L ??u8alrx-" <
LOCqTION f, G-LEVRT/ONS.
&& 6 1-7
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pemuts aze required for each
30, sz)
Date /2 / ? / 04
Site Address 3y ij7 L-r Y w°j Io!'ie, -f6IdQ Qs Unit #
Property Owner eo-,Q't'!` Ln?-ry) n ftOMQ?-) Telephone #( )
Contracinr kilQvQs Ht E? ? /c, / I</ C,
t)
t Add
St
1 ? 0 15 1one?{r 1 ra i I Cit
' C CL G! ,?ra i ri v
ree
ress y
State C1 ?Y?1 ?rC{fl?lQ, Zip H 1?.? Telephone?l 152,G?G?
Bond #---h L. Z-? LD ? I LD rJ Ezpires: 0/l W! O?
The Applicant is _ Owner >( Contractor _ Other
Add-on or alteration to eaisting dwelling unit $ 30.00
? furnace _Additional _Replacement
>G air exchanger
? airconditioner ? New _ Replacement
other
State Surcharge $ .50
l $ ?
?
Tota •
I hereby apply for a Residential Mechanical Pernut and aclmowledge e
be in conforniance with the ordinances and codes of the City of Eag and with
permit, but only an application for a pemut, and work is not to s without a
approved plan in the case of work wMch requires a review and app oval of plans.
aI"Pa11 u-? C.h u r ch i 1 I
Applicant's P' ted Name App }
n is complete and accurate; that the work will
-hanical e hat I ers and Hus is not a
that th ork he i aGrdance anth the
, e,?',r6 . f
Petmit Nwnber
REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSoftware Version 3.6 Releasc 1
Data filename: Untitled.rck
PROJECT 1TTLE: Scott I.arson Homes
COUNTY: Dakota
STAT'E: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW ! WALL RATTO: 0.13
DATE: 11/09/04
DATE OF PLANS: 06/25/04
PROJECT DESCRIPTION:
Model Home 3967 GREySTONE. RIDGE
EAGAN MN
DESIGNER/CONTRACTOR:
Scott Larson lTRI-SON INC
COMPLIANCE: Passes
Maximum UA = 414
Youi Hamc UA = 370
10.6% Better Than Code (UA)
Ceiling 1: Flat Ceiling or Saissor Truss
Wall 1: Wood Frame, 16" o.c.
Window 1: A6ove-Grade?Vinyl Frame:Double Pane with Low-E
Door 1: Solid
Door 2: Giass
Wall 2: WoodFrame, 16" o.c.
Wa113: Wood Frame, 16" o.c.
Sasement Wall 1: Solid Concrete or Masonry
Wall height: 8.0'
Depth lelow grade: 7.5'
Insulalion depth: 8.0'
Floor 1: All-Waod JoisU'Truss:Over Outside Air
Pmposed and Maximum U-Factor Averagea
Checked By/Date
Gross Glazing
Area or Cavity Cont. or poor
Peri mete r R_Va1ue -R ? aT lu e IL-F.acLo uA
1346 60.0 0.0 32
izax i . 0.0 aa
330 0.300 99
36 0.300 11
60 0.250 15
1455 19.0 0.0 86
200 19.0 0.0 12
1048 10.0 0,0 63
16 0.0 0.0 ----
? ?
? ? ?OU 0 9 Z0l?d ?I
rroposea Maximua
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.292 0370
Includes Foundation Windows > 5.6 112
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has bcen designed to
meet the 2000 Minnesota Energy Code requirements in REScheckVersion 3.6 Release 1(formerly MECcheclq and to
comply with the mandatory re ients lis[ed in the REScheckInspec[ion Checklis[.
Builder/Designer Date U? ?
? /?e vi 5
p?1?nt??Ln 2N5NLA'nc?./
Feb 19 OS 10:35a Scott Larson Homes 9528980598 p.2
site address: sladc ? sube.
/
--------------------------
On April 15, 2000 the Minnesota Energy Code, Categay 1 Building Requirements for insulation protection, air
tightness, and ventilation, was adopted, As a result, ihe City of Eagan is requiring that the following infortnation be
submitted prior to issuance of a Certificate of Occupancy.
_ This sVucWre: is constructed m meet minimum requiremenfs of the Mn Energy Code, Chapter 7670
OR
_ This structure: will b construcoed to mcet more resVidive requirements of Chapters 7672 or 7674
APPLUiNCE GAS ELEC MANUFACTURER MODEI BTU'S VENTINGTYPE
water Heater ? .. • At .
Furnace
??r -)40 '::!// f/ ?
EXHAUST SYSFEM
LOCATION
TYPE
MODEL
CFM's VENTED
YFs Na
Kitchen kid;hen i /
Bathroomi 2-Np • ?? y
Bathroom 2 m.3v. t3p ILO
?
Bathroom 3
Bathroom 4
Other
FIREPl.ACE
LOCATION
GAS
WOOD
IAANUFACTURER
d1100EL
BTEI'S VENfING
DIRECT ATMOS
?v? r' [?- ? - - 34tt 1*5-oo
23
?
ei
I hereby aGcnowledge that Uie above infortnatian is correct and agree to camply with ?he Minnesata Energy Code and City of Eagan
?P?209,57
Company
This fwm is the responsibilily of the General Contractar.
� �t�.nc�
��b�- ���3��
Use BLUE or BLACK Ink
---------,
� For Office Use �
C16O! �Q Qll ���� V � .. � Permit#:_��7 ��7 �
Y � � ��,�
3830 Pilot Knob Road
J U N 2 3 2014 � Permit Fee: _ _ �
Eagan MN 55122 � Date Received: -�
Phone:(651)675-5675 �(,G� �
Fax:(651)675-5694 �Y: � ����/� I
� Staff: w7- I
I
�����������������J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: � Site Address: ��(,Q � ("'�,�e.��l�' "�� �1"lj C��-Q_
Tenant:�(���Q, '� Y�(,t,,�-Q ��t�S�S (�{�� Suite#: �
,Res�dentlOwner, E Name: �GI.I��. ( (�'1 V"t S��)� Phone: �`-'�"a���l� �
Address/City/Zip: l.Q 1 t...C� � �c
Name: � � d- License#: lX i � � ����
Coritractor Address:_���_t \���'{�1`1 I i l t � {'1 S� City: t�T�,t�C�1'�Ci�
„,� � . G�-, ,S�p�
State: �V�� Zip: � �`''��Phone: �.(}� � ' � ��" ��v 1
.�
Contact: Email: (� C? f.�'l.k.YGI�►' �(:'j j�,�
_New �Replacement _Additional Alteration Demolition
��� � Type���of Work �� Description of work: L �
NOTE Roof mounted na d rountl mountetl mechanical e ui r ment is're wr'ed to be screened b �it
�� g , q p q,. � wa.�. �Y.. Y
� Coc1Q Please contact the Mechanical Inspecto�for��ir�forriiat�on on permitted screening methods.'� ��
RESIDENTIAL COMMERCIAL
Fumace New Construction Interior Improvement
� Pe�llllt�ypE � �Air Conditioner _Install Piping _Processed
_Air Exchanger Gas Exterior HVAC Unit
_Heat Pump _Under/Above ground Tank (_Install/_Remove)
�Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) Qu
$100.00 Residential New(includes$5.00 State Surcharge) _$ �� • TOTAL FEE �
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank instailation/removal =$ Permit Fee �
*If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge*
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 �
*�*If the project valuation is over$1 miilion, please call for Surcharge =$ �' TOTAL.FEE
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x X
Applican ' Prin ed Name Applican s Signature
FOR�OFFICE USE� �'� '�""'�
°�; �� '
Reqwred InspecUons: � �� °�� ` � �� � �` �.; � Revieweci By:, � ate� � ��
�
D :*
Underground _RougF��n i�ir Tesf Gas Serv ce Tes� � �n-�loor Heat Final �iVAC Screening �R
— �.,�,..�